Abstract

A large number of the urinary constituents have been reported to inhibit calcium oxalate crystal growth and aggregation. Pyrophosphate, for example, is a potent inhibitor of crystal growth1 and glycosaminoglycans potent inhibitors of crystal aggregation2. Regarding urinary macromolecular inhibitors of calcium oxalate crystallization, a number of substances such as glycosaminoglycans2, polypeptides3, polyribonucleotides4 and glycoproteins5 have been claimed to be of importance. There has also been a debate as to whether uromucoid or Tamm-Horsfall glycoprotein is a promoter or an inhibitor of the crystallization process6. The purpose of the present study is to compare the inhibition of calcium oxalate crystal growth by pyrophosphate, polyanionic glycosaminoglycans and Tamm-Horsfall glycoprotein. This comparison has also been extended to include two drugs with a structure similar to pyrophosphate and heparin respectively.

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